A Loop Electrosurgical Excision Procedure (LEEP) removes abnormal cells from the cervix, often identified during a Pap test or colposcopy. These cells may be precancerous. Understanding what to expect can help alleviate anxiety about the procedure. This article provides information on sensations during and after a LEEP, as well as guidance on managing recovery.
Sensations During the LEEP Procedure
During a LEEP, a local anesthetic is administered to numb the cervix via injection. This injection might cause a brief stinging or pinching sensation, similar to a dental numbing injection. After the anesthetic takes effect, the cervix becomes numb, and sharp pain is not expected.
Patients commonly report feeling pressure or a pulling sensation rather than pain as the electrically heated wire loop removes the abnormal tissue. Mild cramping, akin to menstrual cramps, can also occur. The LEEP is a quick procedure, often completed within 10 to 20 minutes. You might hear a humming sound or notice a slight burning odor, which are normal due to the electrosurgical device. If any significant pain is experienced, communicate this to your healthcare provider immediately.
Managing Post-Procedure Discomfort
After a LEEP, mild to moderate discomfort is common as the cervix heals. Many report cramping similar to menstrual cramps, which can last for several days. Light bleeding or spotting is also normal and can persist for one to three weeks. A brownish or dark-colored discharge is common, often due to a special paste (like Monsel’s paste) applied to control bleeding. This discharge may appear greenish-yellow and have a slight odor initially.
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, are generally effective for managing post-procedure cramping. While rest is beneficial, most daily activities can be resumed within one to three days, though strenuous activity should be avoided for about one week. To prevent infection and allow proper healing, avoid inserting anything into the vagina, including tampons, for several weeks (typically three to four weeks). Sexual intercourse and douching should also be avoided during this healing period.
When to Contact Your Healthcare Provider
While some discomfort and discharge are expected after a LEEP, certain symptoms indicate a potential complication requiring immediate medical attention. Contact your healthcare provider if you experience severe abdominal pain not relieved by over-the-counter medication. Heavy vaginal bleeding, defined as soaking more than one sanitary pad per hour or passing large blood clots, is also a concerning sign.
A fever of 100.4°F (38°C) or higher, chills, or a foul-smelling or yellowish vaginal discharge could indicate an infection. These symptoms are not typical for normal recovery and require prompt evaluation. Do not delay seeking help if any of these warning signs occur, as timely intervention can prevent serious health issues.